Active NPI
Blessing Ebong, M.D
- Student in an Organized Health Care Education/Training Program
- Bogalusa, LA
National Provider Identifier
1124875927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 420 Avenue F, Our Lady of the Angelo Hospital
Bogalusa, LA 70927 - Phone
- (985) 730-6970
- NPI assigned
- May 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
420 Avenue F, Our Lady of the Angelo Hospital
Bogalusa, LA 70927
Mailing address
420 Avenue F, Our Lady of the Angelo Hospital
Bogalusa, LA 70927
Phone (985) 730-6970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- bebong5288637@direct.casso.us.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1124875927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 AVENUE F, OUR LADY OF THE ANGELO HOSPITAL",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "70927",
"telephone_number": "985-730-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 AVENUE F, OUR LADY OF THE ANGELO HOSPITAL",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "70927",
"telephone_number": "985-730-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBONG",
"first_name": "BLESSING",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.